Offered as a rolling admission throughout the semester.

Course lectures for this introductory study of the concepts and techniques of delivering intraoral anesthesia are provided online and coordinated with clinical practice. Emphasis is on the prediction and prevention of medical complications. Curriculum includes head and neck anatomy, armamentarium, pharmacology, neurophysiology, patient evaluation and management, record keeping and risk management.

The goal is to safely select and administer adequate local anesthesia for use in painless periodontal treatment. Course consists of 24 lecture hours and 24 clinical hours in which students practice injection techniques under the supervision of a NH-licensed dentist and qualified dental hygienist. Upon successful completion of the course, the ADEX exam, and obtaining a NH permit, hygienists will be qualified to administer local anesthesia according to NH law.

This is a hybrid course with self-paced online modules. The modules can be completed early on or spread out during the time remaining from the date of registration. The clinical portion would be scheduled with the instructor to join an on campus lab currently in progress with the Dental Hygiene students.

Course Dates: Offered throughout the Summer semester between May 18, 2025 and July 17, 2025 as needed per student.

Online: Self-paced modules to be completed during the semester dates above.

Clinicals: To be scheduled with the instructor during the semester dates above at the NHTI campus.

CEUs: 48

Required Textbook: Local Anesthesia for the Dental Professional, 2nd edition, 2015, by Bassett, DiMarco & Naughton, ISBN- 978-0-13-307771-1

Prerequisites and Required Documents:
Proof of current CPR
Copy of current RDH license
Medical History Form Please fill out and email back to kmagee@ccsnh.edu
Informed Consent Form
Local Anesthesia Consent Form

Email the forms in one email to nhtiwe@ccsnh.edu within 10 days of registration to secure your seat.

Personal Protective Equipment: Students must provide their own PPE. This class requires: an N95 face mask, face shield, gloves, scrubs, and a fluid resistant lab jacket.

*PLEASE NOTE: You will NOT be officially registered until ALL paperwork as well as payment has been submitted.

Offered as a rolling admission throughout the semester.

REFRESHER Fact Sheet 2025

This hybrid course was prepared for dental hygienists who have been out of practice for a time and want to get back into the field or for those who are practicing, but feel their skills need updating.

The course is designed to review theory and techniques learned in dental hygiene school and on the job. Current “best practices” will be introduced, but specialized procedures will not be covered in great detail and, in some cases, will require additional courses.

Program Goals:

• Dental Hygiene Process of Care
• Definitive Oral Prophylaxis
• Radiographic Techniques
• Review of Current Center for Disease Control (CDC) Guidelines
• Review of Hand Instrumentation including Ultrasonics

Course objectives are met through didactic and clinical instruction which will introduce, update, and review current techniques in the practice of dental hygiene.

Program Outcomes: 

Participants who complete the course can be assured they have had the opportunity to learn the most up to date, science-based theory and techniques. The program satisfies the criteria of the NH Board of Dental Examiners when a refresher course is mandated for hygienists who want to renew their active dental hygiene license. 

Program Description: (20 CEUs)

• Online Assessment and Review of Theory (2)
• Clinical Review (18)
  • 3-hour lab session to review hand instruments and the ultrasonic tips on a typodont
  • 4-hour clinic session
  • 2-hour radiology review

The online portion needs to be completed before the start of the scheduled hands-on sessions. 

The scheduling of this course will be based upon faculty availability. Students are expected to provide one client for the clinical portion of the course.

Materials:

Students will need a variety of Gracey curettes, scalers (universal, sickle), and a typodont to practice instrumentation. Instrumentation is to be practiced weekly on a typodont. If needed, instruments may be available on a loaner basis (for an additional fee). 

Also required for the course: scrubs, lab coat, loups/light if you have them, scrub cap, proper leather or pleather clinic shoes, and two pairs of safety glasses (one for student, one for patient). Gloves, masks, and face shields will be provided for refresher course (NO latex - NHTI’s clinic is a latex free environment).

Prerequisites and required documents:

• Current CPR Certification
• Liability Insurance
• College Transcript
• Refresher Application

Please email to:  nhtiwe@ccsnh.edu

*PLEASE NOTE: You will NOT be officially registered until ALL paperwork as well as payment has been submitted.

With online and hands-on components, course topics include barrier techniques, limiting contamination, hand washing, handling of sharps, sterilization, disinfection, and disposal of waste materials. Participants must complete assignments online prior to clinical portion. 

Students normally take Infection Control Practice and Preliminary Oral Inspection at the same time, same session as these classes are prerequisites for our other dental classes.

We have two convenient offerings for this class to fit into your busy schedule.

Session 1 - (CRN 11126) - Online: 8/30/25 - 9/13/25 (Margaret McManus, and Elizabeth Brown)

              Clinical: NHTI campus - 9/13/25 - 8:30am - 12:30pm

Session 2 - (CRN 11384) - Online: 9/27/25 - 10/4/25  (Margaret McManus, and Elizabeth Brown)

              Clinical: NHTI campus - 10/4/25 - 8:30am - 12:30pm

 Please note: 

• Course not designed to meet annual OSHA training requirement. 
• Course not required for dental assistant graduates from ADA accredited programs.

CEUs: 6

Required documents: None

Personal Protective Equipment Requirements: Students must provide their own PPE.  Required PPE includes 2 surgical masks, N95, safety shield, gloves, scrubs, and a lab jacket.

About the instructor:

Margaret McManus earned her Bachelor of Science in Biological Sciences from the University of New Hampshire in 2018 and her degree in Dental Hygiene from NHTI in 2021. She is currently pursuing a Master of Business Administration with a focus on leadership at Southern New Hampshire University. Margaret worked as a traditionally trained dental assistant until 2020 and now works as a clinical dental hygienist in private practice, where she also supports new hires through the onboarding and training process.

Online: September 20 - October 18, 2025

In Person at NHTI: October 4, 2025 from 8am - 5pm AND October 18, 2025 from 8am - 12pm

CEUs: 12

Prerequisites and required documents:

• ADA Graduate Dental Assistant OR proof of completion of POI and ICP courses.
• Medical History Form - please print form, fill out, scan and email back to MMcManus@ccsnh.edu
• Informed Consent Form

*Email required documents within 10 days of registration to secure your seat:  nhtiwe@ccsnh.edu   

**You will NOT be officially registered and a seat will not be reserved until ALL necessary paperwork as well as payment has been submitted.

Required by student:

• Treat 5 paitents under the supervision of a NH dentist between clinical sessions.

Required PPE: Lab coat, safety glasses, 2 face masks, N95 mask